Notice of Adoption - Amended Regulation 4-2-20 Concerning the Summary of Benefits and Coverage Form and the Colorado Supplement to the Summary of Benefits and Coverage Form

The Division would like to provide notice that the Commissioner has adopted the following  regulation:

• Amended Regulation 4-2-20 Concerning the Summary of Benefits and Coverage Form and the Colorado Supplement to the Summary of Benefits and Coverage Form

The purpose of this regulation is to coordinate the requirements of § 10-16-108.5(11), C.R.S. and certain provisions of the Patient Protection and Affordable Care Act of 2010, Pub. L. No. 111-148, 124 Stat. 119 (2010) and the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-152, 124 Stat.1029 (2010), together referred to as the “Affordable Care Act” (ACA). This regulation also sets out procedures for carriers to make available the required Summary of Benefits and Coverage (SBC) and a Colorado Supplement to the Summary of Benefits and Coverage (COSSBC) Form for each policy, contract, and plan of health benefits that either covers a Colorado resident or is marketed to a Colorado resident or such resident's employer.

The amended regulation revises citations, clarifies the location of SBC filing instructions and requires SBCs and COSSBCs to be available in Spanish.

This regulation will become effective on August 1, 2021. 

Find this regulation and other regulations that have been adopted, but are not yet effective, at Regulations Adopted But Not Yet Effective.

Division bulletins and regulations can be found at Statutes, Regulations & Bulletins.